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Economic - Political Facts

Naccarella Franco's document on italian hospital in China

Category: Economic - Political Facts

Ninghe Health City and Technology Park new part of 
Tianjin Mega Plan Jing Jin Ji
28 07 2014

To the Kind attention of 
HE Bradanini 
Ambassador

To Prof Innocenzi
Scientific Councellor

To Dr Massari 
Economic Councellor

To Prof Pelissero (Sig Biancini) 
To Prof Rotelli (Sig Mora) 
To Dr Galli 
San Donato Group

Prof Naccarella

---------- Messaggio inoltrato ----------
Da: "Franco Naccarella" <proffranconaccarellanew@gmail.com>
Data: 27/lug/2014 23:30
Oggetto: 04 CRITICAL AND DOCUMENTED CONSIDERATIONS OF POSSIBLE PROPOSALS OF ITALIAN HEALTH CARE FACILITIES TO BE BUILT IN CHINA 2014 2018
A: "Eurochina web site ok" <info@eurochinahealth.com>, "Sun Lei Leilei Cell. Beijing." <radiumsun@gmail.com>, "FRANCO NACCARELLA" <franco.naccarella@qualemedicina2000.bologna.it>, "CONS. GEN. BELTRAME STEFANO" <info.shanghai@esteri.it>, "Lei Lei Ok 2013 2014" <radiumsun@hotmail.com>
Cc: 

Il 27/lug/2014 23:16 "Franco Naccarella" <proffranconaccarellanew@gmail.com> ha scritto:

Beijing 27 07 2014

HE Consul Beltrame 
General Consul in Shanghai

Cc Dr ssa Sun Lei
President Euro China Society for Health Research of Bologna Chamber of Commerce

Cc Prof Pelissero
President of San Donato Group San Raffaele

Cc Dr Valtero Canepa
Bracco China

03 CRITICAL AND DOCUMENTED CONSIDERATIONS ON POSSIBLE PROPOSALS OF ITALIAN HEALTH CARE FACILITIES TO BE BUILT IN CHINA 2014 2018

    Dear Consul, thank You again for the 24 th meeting in Shanghai and the relevant issues You raised.

     The possibility for Italy to leave in China signs of Her Presence and Cultural heritage  long lasting for the future generations over time, relies on the possibility of building up Italian Schools, scientific, cultural and economic activities and mainly Health Care and Welfare institutions.

    Hospitals and Welfare are part of Our European and Italian cultures to take care of medical and social problems of suffering people. (Revised Universal Coverage Model after the good samaritan model)

  Furthermore to start primary and secondary prevention policies and to perform adequate rehabilitation procedures to mantain population health Care and to prevent chronic diseases.

    Also educational capabilities, in collaboration with the Universities many hospital are affiliated with, is of extreme value in :

-  training and select adequate human resourches both medical and non medical 
-  consulting, planning, setting up and managing these facilities
-  implementing, valditating and governing the new medical technologies, which are crucial to improve and to speed the diagnosis, even if they are very expensive.

  Furthemore health care facilities runned by Italians could improve the widespread use of Italian Medical technologies also to closer ho99spitals , (Assobiomedica of Confindustria)  pharmaceutical products (Farmindustria) and biotechnologies (Assobiotech of Federchimica).

   We considered, in this shorter summary of a longer text,  the problem according to three different levels of evaluations:

1st issue ) Potential economic investments and real business plan as part of  " Studi di fattibilita'

2 nd issue ) Areas of interest and potential locations,  according to Chinese regulations for foreign investments and China health care market opportunities

3 rd issue) Level of complexity of health care facilities to be built and available Italian competencies and excellences to play a role

1st issue ) Potential economic investments and real business plan,  as a part of  " Studi di fattibilita'

1.1 During the recent visit mission of Premier Renzi and Minister of MISE Guidi, both Dr. Ghizzoni of Unicredit and Dr. Micciche' of Bancaintesa showed their interest in this opportunity.

1.2 Bracco Group and the Generali Insurance  and its part of Europe Assistance, showed their different and complementary interests.

1.3 Furthermore, we have been contacted by CITIC Bank and by private Chinese Investors, including President Wan Qu Beijing Ren, willing to consider alternative way of increasing their businesses, being the construction of skyscreepers apparently less profitable today,  in comparison with the construction of health care facilities, elderly care and rehabilitation facilities building up.

2 nd issue ) Areas of interest and potential locations according to Chinese regulations for foreign investments in China and market opportunities.

2.1 We explored Beijing area according to existing models
2.1.2 Yanda Model
2.1.3 Tong Zhou Model
2.1.4  International medical center in collaboration with Peking University
2.1.5 Ning Chuan model of Prof Zhang Qin Yi
2.1.6 Dong Ba model in collaboration with An Zhen Hospital 
2.1.7 International medical center 
In collaboration with Fuwai Hospital 
2.1.8 United Family Hospital International Hospital and International Insurances companies.

2.2 All these models show advantages and limitations in term of readiness of the structures, advancement of the planned works, political and economic strenght and support, insurance coverage of medical and surgical procedures and attraction of Chinese and International patients.

2.3 An effectively working health care facilities should include Chinese medical leaders together with Italian Medical leaders able to attract patients from different part of China

2.3.1 Furthermore we suggest the presence of Chinese to Italian physicians in a 2 to 1 ratio

2.3.1.1 so far the best preferred model for Italian physicians to work in China has been 3 or 4 weeks 3 times a year,  but in the future a full time model should be considered.

2.3.2 We do also believe it will be important to involve in the management of both human resourches  and hospital budgets, and constant and relaiable relationships with National and Local governments, some Chinese high Level personnel.

2.3.3 We found some Chinese Officers who worked at the Embassy in Rome and a lawyer who worked at the Minister of Intellectual rights protection of China,  as the most adequate to do the previously listed jobs.

2.4 we explored the Shanghai area
In collaboration with Shanghai Municipal Health Bureau.

2.4.1 The Pudong  International Hospital model
2.4.2 The International Hospital of first People Hospital 
2.4.3 Other Hospitals affiliated to Jiao Tong University 
2.4.4 The Shanghai Children Medical Center
2.4.5 The Fudan University Cancer Center
2.4.6 the 9th and 12th Shanghai People Hospitals

2.4.7 There are advantages and limitations of these areas.

2.4.8 The closeness to the Suzhou Industrial park (SIP) where many factories are located,  could be a perspective of  a more widespread diffusion of Italian Medical Technologies and Italy Made Biotechnologies with distribution logistic companies as Italian Bomi, with an international and now a Chinese first hand experience

2.4.7 We explored the Tianjin area

We cecked
2.4.8 Teda International Cardiovascular Hospital 
2.4.9 Tianjin Chest Hospital 
2.4.10 Cardiology Second Medical University
2.4.11 Tianjin Cancer Hospital

2.5 the most important area was found and visited at " Ninghe Medical City " with the Major of this City

2.5.1 they live in a beatifull area very rich in water and lakes and extremely preserved. 130 km north of Tianjin,  80 from Beijing.

2.5.2 They already have a technology park where technologies factories can localize themselves

2.5.3 But the most interesting point is they are part of the Jing Jin Ji or Beijing Tianijn and Hebei province MEGA PLAN of the Chinese Governement, a wide area of almost 90 million people also affected by a rapidly growing urbanization process.
2.5.4 This area needs modern medical services

3 rd issue) Level of complexity of health care facilities and available Italian competencies and excellences

3.0 three models can be proposed

3.1 OUTPATIENTS CLINIC (NO BEDS)  FOR ADVANCED MEDICAL  SPECIALTIES

3.1.1 this is the less expensive model ( 8 to 12 million euros )

3.1.2 it requires also Chinese counterparts  for each involved Italian Specialty for clinical care, for economic investments for technologies implementation and ambulatories restructuring.

3.1.3 Specialties included are Odonstomatology and Implantology 
3.1.4 Dermatology and cosmetic -plastic surgery 
3.1.5 Both non invasive Pediatric and Adult Cardiology consultations
3.1.6 Pediatrics
3.1.7 Geriatric  Medicine, Elderly care and Rehabilitation procedures
3.1.8 Early screenings on the model of Beijing Navy General Hospital Health Management Center who was very succesfull economically and scientifically speaking in these activities.

3.2 AN ITALIAN WARD OF A GENERAL CHINESE HOSPITAL

3.2.1
This is the most convenient and possible (18 to 25 million euros)

3.2.2 It will use the technology platform (TP) of the guest Chinese Hospital, paying for examinations (fees for services) such as Nuclear Magnetic  Resonance imaging (NMR) and Computerized Axial Tomography (CAT) examinations.

3.2.3 Costs of TP alone around 15 million  euros.

3.2.4 Catherization rooms Operating rooms and Hybrid operating rooms should be separately considered (Costs from 2 to 5 million euros each)

Specialties to be included:

3.3 Cardiology Cardiac Surgery both for adults and children,
3.4  Preventive and Curative Oncology, 
3.5 Orthopedic surgeries for hips and Knees replacement as performed at San Donato Group Galeazzi Hospital Milan and Sesto. 
3.6 Neurology Elderly Care and Rehabilitation 
3.7 Plastic and facial surgeries
3.8 Genetic screening and real stem cell therapies.

4.0 A COMPLETE NEW HOSPITAL

4.1 This is the most expensive option
The most feasible area is the previous mentioned area of Ninghe Health City.

4.1.1 Furrher area to be explored are
4.1.2 Jangsu Hospitals as Yang Zhou, Chang Shu, Kunshan ...
Which we visited with Italian delegations

4.1.3 The Henan  province areas mainly Luyoang or Zheng Zhou where we already  working and Italy created the Italy City.

4.1.4 the New area of Chong Qing and Cheng Du and West area of China with more than 46 million inhabitants, where we opened a new consulate and we started new scientific,  educational and economic initiatives.

Specialties  to be considered are

4.2 Cardiology Cardiac Surgery both for adults and children,
4.3 Preventive and Curative Oncology, 
4.4 Orthopedic surgeries for hips and Knees replacement at San Donato Group Galeazzi Hospital Milan and Sesto. 
4.5 Neurology Elderly Care and Rehabilitation 
4.6 Plastic and facial surgeries
4.7 Genetic screening and real stem cell therapies.
4.8 Gynecology diagnostic and therapeutic procedures and protocols.

A large outpatients clinic for preliminary screenings and follow up of discarged patients should be included.

Elderly care, creation of long term care facilitied for elderly people

Home care and integrated home Care (ADI) palliative care and home care for cancer patients after hospital discharge, telecardiology telemedicine, remote monitoring structures and modalities of Call Or Video Call Center should be considered.

Sincerely

Yours Prof Franco Naccarella

 

 

 

 

 


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